Individual provider Active NPI

Paige Westmoreland, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mantachie, MS
National Provider Identifier
1932792207
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
904411 Issued in MS
Practice address
5510 Highway 363
Mantachie, MS 38855-7197
Phone
(662) 282-4359
Fax
(662) 282-7040
NPI assigned
Feb 17, 2021
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 904411 MS Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3-000157 AL

Addresses

Primary practice location

5510 Highway 363
Mantachie, MS 38855-7197

Mailing address

261 Wilson Rd N
Fulton, MS 38843-9383
Phone (662) 213-9950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX, NH, NC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20211012003490 MS Practitioner - Nurse Practitioner 6305244906 Reassigns benefits to 1 organization
I20230418001527 TX Practitioner - Nurse Practitioner 6305244906 Reassigns benefits to 1 organization
I20230509002358 NH Practitioner - Nurse Practitioner 6305244906 Reassigns benefits to 1 organization
I20230518000161 NC Practitioner - Nurse Practitioner 6305244906

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mantachie Rural Health Care, IncGroup PAC ID 2567372121, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

5681 Hwy 363
Mantachie, MS 38855-7632
Phone (662) 282-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3-000157ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Behavioral Health, LLC Psychiatric/Mental Health CurrentSince Aug 1, 2021 Accepting new patients
Brightside Medical, P.a. CurrentSince Apr 10, 2023 Accepting new patients
Brightside Medical, P.C. CurrentSince Apr 6, 2023 Accepting new patients
The Chadwick Clinic LLC Psychiatric/Mental Health CurrentSince May 24, 2022 Accepting new patients
Bhic PastSince Jan 17, 2021 Accepting new patients
Remedy Healthcare LLC PastSince Jul 31, 2023 Accepting new patients

Locations

1609 Mockingbird Ct
Ste B
Florence, AL 35630
Phone (256) 320-7778

1001 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 320-7778

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

907 E Walker St
Fulton, MS 38843
Phone (662) 862-6140

609 Brunson Dr
Tupelo, MS 38801
Phone (601) 844-7021

609 Brunson Dr
Ste B
Tupelo, MS 38801
Phone (662) 432-1097

159 Frontage Rd
Manchester, NH 03103
Phone (603) 627-7000

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26357/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1932792207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 WILSON RD N",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388439383",
            "telephone_number": "662-213-9950",
            "fax_number": "662-282-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 HIGHWAY 363",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388557197",
            "telephone_number": "662-282-4359",
            "fax_number": "662-282-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTMORELAND",
        "first_name": "PAIGE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904411",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "3-000157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mantachie, MS

Sources for this page

Verify at the official NPI Registry.